NPI | 1245686401 |
---|---|
Former Name | SHANNON PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 4804) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 4804) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2022-08-24 |